Asha V. Nair, Maryam Nasser, Al Shukri, Abla Al Manji, Taqwa Al Ruqhishi, V. Gowri
This study aimed to compare the maternal and neonatal outcome of preterm prelabor rupture of membranes in women with cervical cerclage admitted in a tertiary care unit compared to women without cervical cerclage. This is a case control study comparing the maternal and neonatal outcome in Omani women presenting with preterm prelabor rupture of membranes (pPROM) in the presence of cervical cerclage and those with pPROM without cerclage conducted in Sultan Qaboos University hospital from January 2010 to December 2019. The data was collected from the maternal and neonatal register. The Statistical Package for the Social Sciences
{"title":"Maternal and neonatal outcomes of preterm prelabor rupture of membranes in women with and without cervical cerclage: a case control study","authors":"Asha V. Nair, Maryam Nasser, Al Shukri, Abla Al Manji, Taqwa Al Ruqhishi, V. Gowri","doi":"10.36129/jog.2023.136","DOIUrl":"https://doi.org/10.36129/jog.2023.136","url":null,"abstract":"This study aimed to compare the maternal and neonatal outcome of preterm prelabor rupture of membranes in women with cervical cerclage admitted in a tertiary care unit compared to women without cervical cerclage. This is a case control study comparing the maternal and neonatal outcome in Omani women presenting with preterm prelabor rupture of membranes (pPROM) in the presence of cervical cerclage and those with pPROM without cerclage conducted in Sultan Qaboos University hospital from January 2010 to December 2019. The data was collected from the maternal and neonatal register. The Statistical Package for the Social Sciences","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":"266 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73557627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Paradisi, L. Anelli, F. Barletta, F. Battaglia, M. Boninfante, M. Bonito, R. Brunelli, F. Carboni, B. Carducci, A. Cavaliere, M. Ciampelli, G. De Matteis, D. De Vita, M. DeSiato, A. Di Cioccio, R. di Iorio, S. Ferrazzani, A. Lena, F. Lippa, P. Magliocchetti, Francesco Maneschi, M. Marceca, E. Marinoni, R. Marzilli, V. Napolitano, G. Nicolanti, M. Oliva, P. Palazzetti, C. Piscicelli, A. Ragusa, P. Saccucci, G. Salerno, G. Serra, F. Signore, V. Spina, H. Valensise, A. Lanzone
Objective. Iron deficiency with (IDA) or without anemia (IDWA) represents a global health issue. The present paper aims to evaluate several skills concerning the prevention of IDWA and the appropriate management of IDA, in pregnancy and in the post-partum, testing a heterogeneous group of Italian obstetricians. Materials and Methods. On April 2022, a group of obstetricians of Lazio region (GOAL Working Group) promoted an online survey among its members based on 27 questions dealing with IDA and IDWA in pregnancy and in the post-partum; aspects related to the Patient Blood Management (PBM) have also been investigated. Results. About 30% of the GOAL members answered the questionnaire. The prevalence of IDWA is thought to be around 41%, leading to a higher risk of adverse pregnancy outcomes. 54.1% of responders evaluate iron storage at the first visit in pregnancy thus proposing a diet rich in iron to all women they follow (67.2%). Although iron administration is more often needed to correct hemoglobin levels before starting labour, the prevalence of blood transfusion in the post-partum is thought to be around 2-5% (50.8%). Only the half of responders knows the PBM approach. Conclusions. It is desired to define how clinicians who care for pregnants perceive, frame and treat IDA and IDWA, which are too often not promptly diagnosed and managed, in order to improve antenatal care.
{"title":"Iron deficiency in pregnancy: an Italian Survey","authors":"G. Paradisi, L. Anelli, F. Barletta, F. Battaglia, M. Boninfante, M. Bonito, R. Brunelli, F. Carboni, B. Carducci, A. Cavaliere, M. Ciampelli, G. De Matteis, D. De Vita, M. DeSiato, A. Di Cioccio, R. di Iorio, S. Ferrazzani, A. Lena, F. Lippa, P. Magliocchetti, Francesco Maneschi, M. Marceca, E. Marinoni, R. Marzilli, V. Napolitano, G. Nicolanti, M. Oliva, P. Palazzetti, C. Piscicelli, A. Ragusa, P. Saccucci, G. Salerno, G. Serra, F. Signore, V. Spina, H. Valensise, A. Lanzone","doi":"10.36129/jog.2023.130","DOIUrl":"https://doi.org/10.36129/jog.2023.130","url":null,"abstract":"Objective. Iron deficiency with (IDA) or without anemia (IDWA) represents a global health issue. The present paper aims to evaluate several skills concerning the prevention of IDWA and the appropriate management of IDA, in pregnancy and in the post-partum, testing a heterogeneous group of Italian obstetricians. Materials and Methods. On April 2022, a group of obstetricians of Lazio region (GOAL Working Group) promoted an online survey among its members based on 27 questions dealing with IDA and IDWA in pregnancy and in the post-partum; aspects related to the Patient Blood Management (PBM) have also been investigated. Results. About 30% of the GOAL members answered the questionnaire. The prevalence of IDWA is thought to be around 41%, leading to a higher risk of adverse pregnancy outcomes. 54.1% of responders evaluate iron storage at the first visit in pregnancy thus proposing a diet rich in iron to all women they follow (67.2%). Although iron administration is more often needed to correct hemoglobin levels before starting labour, the prevalence of blood transfusion in the post-partum is thought to be around 2-5% (50.8%). Only the half of responders knows the PBM approach. Conclusions. It is desired to define how clinicians who care for pregnants perceive, frame and treat IDA and IDWA, which are too often not promptly diagnosed and managed, in order to improve antenatal care.","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85594628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. Cuccu, T. Golia D’Augè, C. Di Dio, A. Giannini, A. Laganà, V. Chiantera, G. Bogani, A. Pernazza, L. Manganaro, V. Miceli, G. Santangelo, L. Muzii, V. Di Donato, G. Perniola
{"title":"Vulvar Lipoma: rare case, rare locationy","authors":"I. Cuccu, T. Golia D’Augè, C. Di Dio, A. Giannini, A. Laganà, V. Chiantera, G. Bogani, A. Pernazza, L. Manganaro, V. Miceli, G. Santangelo, L. Muzii, V. Di Donato, G. Perniola","doi":"10.36129/jog.2023.134","DOIUrl":"https://doi.org/10.36129/jog.2023.134","url":null,"abstract":"","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75932578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Marí, M. Polichetti, M. A. Castaldi, V. Gargano, E. Gragnano, G. Saccone, M. Locci, A. Mollo
{"title":"Four-vessel umbilical cord with three arteries and one vein: a case report and literature review","authors":"S. Marí, M. Polichetti, M. A. Castaldi, V. Gargano, E. Gragnano, G. Saccone, M. Locci, A. Mollo","doi":"10.36129/jog.2023.129","DOIUrl":"https://doi.org/10.36129/jog.2023.129","url":null,"abstract":"","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89900878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective. To evaluate the role of Pentraxin 3 level in PCOS-related infertility and its correlation with the disease's hormonal profile. Patients and Methods. A case-control study involves a total of 90 women for one year, 30 women diagnosed with PCOS who are fertile, 30 women diagnosed with PCOS who are infertile, and 30 healthy controls, all women in the early follicular phase were sent for baseline investigations: FSH, LH, AMH, Fasting blood sugar, Insulin, Testosterone, TSH, and Pentraxin 3 that were measured by sandwich electrochemiluminescence immunoassay. Results. There were statistically significant variations in LH, LH/FSH ratio, Testosterone levels, and AMH across the groups. The mean of Pentraxin for the fertile PCOS group (4.14 ± 1.97) ng/mL was significantly higher than for the infertile PCOS group (1.39 ± 1.10 ng/Ml) and control (1.99 ± 1.66 ng/mL). For the infertile PCOS group, the correlation of Pentraxin was significantly positive with age and negative with AMH. ROC Curve analysis showed a cutoff value of 1.05 ng/ml with a sensitivity of 46.67% and specificity of 83.33% for the infertile group. Conclusions. Pentraxin 3 level is significantly higher in fertile PCOS patients and lower in the infertile PCOS group in comparison to the control group suggesting its possible role in PCOS-related infertility .
{"title":"Assessment of the long Pentraxin 3 level in Polycystic Ovarian Syndrome-related infertility","authors":"N. Essa, B. Hameed","doi":"10.36129/jog.2023.132","DOIUrl":"https://doi.org/10.36129/jog.2023.132","url":null,"abstract":"Objective. To evaluate the role of Pentraxin 3 level in PCOS-related infertility and its correlation with the disease's hormonal profile. Patients and Methods. A case-control study involves a total of 90 women for one year, 30 women diagnosed with PCOS who are fertile, 30 women diagnosed with PCOS who are infertile, and 30 healthy controls, all women in the early follicular phase were sent for baseline investigations: FSH, LH, AMH, Fasting blood sugar, Insulin, Testosterone, TSH, and Pentraxin 3 that were measured by sandwich electrochemiluminescence immunoassay. Results. There were statistically significant variations in LH, LH/FSH ratio, Testosterone levels, and AMH across the groups. The mean of Pentraxin for the fertile PCOS group (4.14 ± 1.97) ng/mL was significantly higher than for the infertile PCOS group (1.39 ± 1.10 ng/Ml) and control (1.99 ± 1.66 ng/mL). For the infertile PCOS group, the correlation of Pentraxin was significantly positive with age and negative with AMH. ROC Curve analysis showed a cutoff value of 1.05 ng/ml with a sensitivity of 46.67% and specificity of 83.33% for the infertile group. Conclusions. Pentraxin 3 level is significantly higher in fertile PCOS patients and lower in the infertile PCOS group in comparison to the control group suggesting its possible role in PCOS-related infertility .","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86433095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Moufawad, G. Buzzaccarini, K. Abboud, E. Nasr, M. Geru, Z. Sleiman
{"title":"Cervicovaginal fibroids: a systematic review for a comprehensive management plan","authors":"G. Moufawad, G. Buzzaccarini, K. Abboud, E. Nasr, M. Geru, Z. Sleiman","doi":"10.36129/jog.2022.41","DOIUrl":"https://doi.org/10.36129/jog.2022.41","url":null,"abstract":"","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135219532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective. Perceived social support is another effective factor in sexual satisfaction and marital commitment. This study aimed to determine the relationship of perceived social support with sexual satisfaction and marital commitment in Iranian married women in 2022. Materials and Methods. This cross-sectional study was conducted on 330 women who attended the Women’s Healthcare Clinic in Iran from June to December 2022. The questionnaires were Larsson sexual satisfaction and marital commitment Adams and Sarason’s Perceived Social Support were assessed. Data were analyzed using Pearson, independent t, one-way ANOVA tests, and descriptive statistics. Results. The mean age of women was 27.45 ± 5.77 years. There was a significant correlation of perceived social support with sexual satisfaction and marital commitment p < 0.01, r = 0.678). An adjusted general linear model showed a significant statistical relationship of perceived social support with sexual satisfaction (B: 0.7; 95%CI: 0.6 to 0.8; p < 0.001), and marital commitment, (B: 0.3; 95%CI: 0.2 to 0.4; p < 0.001). Conclusions. Women with more perceived social support levels had higher sexual satisfaction and marital commitment. Therefore, health planners should adopt strategies to increase perceived social support, sexual satisfaction and marital commitment in married women.
{"title":"The relationship of Perceived Social Support with Sexual Satisfaction and Marital Commitment in Iranian married women","authors":"Z. Jalambadani","doi":"10.36129/jog.2023.131","DOIUrl":"https://doi.org/10.36129/jog.2023.131","url":null,"abstract":"Objective. Perceived social support is another effective factor in sexual satisfaction and marital commitment. This study aimed to determine the relationship of perceived social support with sexual satisfaction and marital commitment in Iranian married women in 2022. Materials and Methods. This cross-sectional study was conducted on 330 women who attended the Women’s Healthcare Clinic in Iran from June to December 2022. The questionnaires were Larsson sexual satisfaction and marital commitment Adams and Sarason’s Perceived Social Support were assessed. Data were analyzed using Pearson, independent t, one-way ANOVA tests, and descriptive statistics. Results. The mean age of women was 27.45 ± 5.77 years. There was a significant correlation of perceived social support with sexual satisfaction and marital commitment p < 0.01, r = 0.678). An adjusted general linear model showed a significant statistical relationship of perceived social support with sexual satisfaction (B: 0.7; 95%CI: 0.6 to 0.8; p < 0.001), and marital commitment, (B: 0.3; 95%CI: 0.2 to 0.4; p < 0.001). Conclusions. Women with more perceived social support levels had higher sexual satisfaction and marital commitment. Therefore, health planners should adopt strategies to increase perceived social support, sexual satisfaction and marital commitment in married women.","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84113857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective. We studied the G-CSF's effect on women with unexplained infertility and previous ICSI failure. Unexplained infertility is a condition when couples are not able to conceive despite normal semen analysis and absence of female infertility factor(s). Cytokines, transcription factors and signaling pathways are essential for complex interactions of decidualization. G-CSF is a glycoprotein with growth factor and cytokine functions, which are produced in many tissues. Patient and Methods. The study was done on a total of 200 women with only 196 women who ended the study (99 women as a study group, 96 women as a control group). All women were
{"title":"Impact of Granulocyte Colony Stimulating Factor (G-CSF) infusion on the implantation rate in women with unexplained previous intracytoplasmic sperm injection (ICSI) failure: case control study","authors":"M. Elmohamady, E. Salama, A. Okasha","doi":"10.36129/jog.2023.133","DOIUrl":"https://doi.org/10.36129/jog.2023.133","url":null,"abstract":"Objective. We studied the G-CSF's effect on women with unexplained infertility and previous ICSI failure. Unexplained infertility is a condition when couples are not able to conceive despite normal semen analysis and absence of female infertility factor(s). Cytokines, transcription factors and signaling pathways are essential for complex interactions of decidualization. G-CSF is a glycoprotein with growth factor and cytokine functions, which are produced in many tissues. Patient and Methods. The study was done on a total of 200 women with only 196 women who ended the study (99 women as a study group, 96 women as a control group). All women were","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82528508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Elmaasrawy, A. Alnemr, M. Elfeky, O. Harb, A. Abdel-Razik
Background. Single-port laparoscopic surgery (SPL) is a newly developed surgical technique which was evolved from conventional laparoscopic surgery (CL) . Sufficient evaluation of roles and benefits of SPL surgery for excision of adnexal masses discovered during pregnancy was not done. Aim of the study was to compare between SPL and CL surgeries in management of benign adnexal masses during pregnancy regarding benefits, advantages, disadvantages and operative outcomes. Patients and methods. this retrospective cohort study included 100 patients who underwent laparoscopic adnexal surgeries during pregnancy. We divided included patients into 2 groups the first group included 50 and underwent Single-port laparoscopic surgery (SPL) and the second group included 50 patients and underwent conventional laparoscopic surgery (CL). Results. There was a statistically significant difference between both groups of patients as regard cosmetic scar satisfaction which was more in the SPL group (p=<0.001). Operative time was longer in the SPL group of patients than in the CL group of patients with statistically significant differences (p<0.001). Conclusions. We showed that SPL was considered a feasible and safe approach for laparoscopic excision of adnexal masses during pregnancy.
{"title":"Single-port laparoscopy (SPL) versus conventional laparoscopy (CL) for management of benign adnexal masses during pregnancy: a comparative study","authors":"A. Elmaasrawy, A. Alnemr, M. Elfeky, O. Harb, A. Abdel-Razik","doi":"10.36129/jog.2023.128","DOIUrl":"https://doi.org/10.36129/jog.2023.128","url":null,"abstract":"Background. Single-port laparoscopic surgery (SPL) is a newly developed surgical technique which was evolved from conventional laparoscopic surgery (CL) . Sufficient evaluation of roles and benefits of SPL surgery for excision of adnexal masses discovered during pregnancy was not done. Aim of the study was to compare between SPL and CL surgeries in management of benign adnexal masses during pregnancy regarding benefits, advantages, disadvantages and operative outcomes. Patients and methods. this retrospective cohort study included 100 patients who underwent laparoscopic adnexal surgeries during pregnancy. We divided included patients into 2 groups the first group included 50 and underwent Single-port laparoscopic surgery (SPL) and the second group included 50 patients and underwent conventional laparoscopic surgery (CL). Results. There was a statistically significant difference between both groups of patients as regard cosmetic scar satisfaction which was more in the SPL group (p=<0.001). Operative time was longer in the SPL group of patients than in the CL group of patients with statistically significant differences (p<0.001). Conclusions. We showed that SPL was considered a feasible and safe approach for laparoscopic excision of adnexal masses during pregnancy.","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91184952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Maiorana, G. Zaccaria, G. Parisi, A. Mercurio, F. Forlani
Background. Spontaneous rupture of uterine vessels is a rare and life-threating event than can rarely occur during spontaneous and low-risk pregnancies. The definitive association between adverse obstetrical events and pelvic endometriosis is still under evaluation. We report a severe case of spontaneous hemoperitoneum in pregnancy (SHiP) due to a rupture of the uterine vessels related to decidualized endometriosis. Case presentation. A 38-year-old primigravida woman at 33 weeks of pregnancy with an uncomplicated pregnancy and a history of endometriosis was admitted to the emergency room of our Institution, due to a spontaneous rupture of the right uterine vessels. An alive and vital baby was delivered by hysterotomy. In order to achieve hemostasis, a total hysterectomy with bilateral salpingectomy was performed. Conclusions. In case of spontaneous rupture of uterine vessels and resulting hemoperitoneum, prompt diagnosis and treatment are the crucial points in order to minimize maternal and fetal/neonatal complications. Further studies are necessary in order to identify endometriosis as a possible cause of spontaneous rupture of uterine vessels in pregnancy.
{"title":"Spontaneous hemoperitoneum in pregnancy due to rupture of uterine vessels in woman with endometriosis: a case report","authors":"A. Maiorana, G. Zaccaria, G. Parisi, A. Mercurio, F. Forlani","doi":"10.36129/jog.2023.124","DOIUrl":"https://doi.org/10.36129/jog.2023.124","url":null,"abstract":"Background. Spontaneous rupture of uterine vessels is a rare and life-threating event than can rarely occur during spontaneous and low-risk pregnancies. The definitive association between adverse obstetrical events and pelvic endometriosis is still under evaluation. We report a severe case of spontaneous hemoperitoneum in pregnancy (SHiP) due to a rupture of the uterine vessels related to decidualized endometriosis. Case presentation. A 38-year-old primigravida woman at 33 weeks of pregnancy with an uncomplicated pregnancy and a history of endometriosis was admitted to the emergency room of our Institution, due to a spontaneous rupture of the right uterine vessels. An alive and vital baby was delivered by hysterotomy. In order to achieve hemostasis, a total hysterectomy with bilateral salpingectomy was performed. Conclusions. In case of spontaneous rupture of uterine vessels and resulting hemoperitoneum, prompt diagnosis and treatment are the crucial points in order to minimize maternal and fetal/neonatal complications. Further studies are necessary in order to identify endometriosis as a possible cause of spontaneous rupture of uterine vessels in pregnancy.","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89931998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：